Journal
JOURNAL OF EMERGENCY MEDICINE
Volume 37, Issue 1, Pages 15-20Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jemermed.2007.09.038
Keywords
Brugada syndrome; sudden cardiac death; dysrhythmia
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Brugada syndrome is believed to be the cause of up to 50% of sudden cardiac death (SCD) cases due to ventricular dysrhythmias in young healthy individuals with no structural heart disease. This syndrome was first reported in 1992 and is rarely seen in the Emergency Department (ED). Given the life-threatening nature of Brugada syndrome, we hope to increase awareness in Emergency Medicine practitioners. We report the case of a 22-year-old man who was referred to the ED with a history of intermittent palpitations, near-syncope and electrocardiogram findings of RSR' and ST elevation in V-1-V-2 characteristic of Brugada syndrome. It is crucial that emergency physicians search for this diagnosis, as an implantable cardioverter-defibrillator is the only recognized life-saving intervention, and the risk of SCD is high if the diagnosis is missed. (c) 2009 Elsevier Inc.
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